"This report addresses the strengths and weaknesses of Immigration and Customs Enforcement's Office of Detention and Removal Operations. It is based on interviews with employees and officials of relevant agencies and institutions, direct observations, and a review of applicable documents. The recommendations herein have been developed to the best knowledge available to our office, and have been discussed in draft with those responsible for implementation. [...] We conducted an audit of United States Immigration and Customs Enforcement's detainee tracking and transfer processes. Our objectives were to determine to what extent the agency has: improved its ability to track and monitor detainees, properly notified detainees of transfers, and provided detainees with timely initial medical screenings and physical examinations. Immigration and Customs Enforcement's detainee tracking efforts have improved since our last report, dated November 2006 (OIG07-08), with accuracy rates increasing from 90% to 94%. Immigration and Customs Enforcement correctly accounted for 433 (94%) of the 459 detainees we sampled. At the time of transfer, Immigration and Customs Enforcement does not always provide detainees the name of the facility to which they are being sent. The Detainee Transfer Notification form was not properly completed for 143 of the 144 transfers we tested. Agency staff interviewed generally considered completing and providing copies of the transfer forms to detainees a low priority. Also the staff interviewed did not know that they were responsible for informing detainees' legal representatives of transfers."